中药穴位贴敷为主防治儿童支气管哮喘

External application of Chinese medicine on acupoints in prevention and cure of bronchial asthma in children

目的观察穴位贴敷消喘灵膏配合口服玉屏风颗粒防治儿童支气管哮喘的疗效。方法按随机数字表法将80例儿童支气管哮喘患儿随机分为两组各40例，治疗组于伏天穴位贴敷消喘灵膏配合内服玉屏风颗粒治疗，对照组在哮喘缓解期不予治疗，只参加随访观察，记录两组患儿治疗前后哮喘发作频次、程度，以及免疫球蛋白IgA、IgG、IgE、嗜酸性粒细胞（EOS）水平变化情况。结果治疗组治疗后病情分级平均为1．825；血清IgA为（1．32±0．56）g／L、IgG为（12．48±1．85）g／L、IgE为（257．06±194．04）g／L、EOS为（128．56±76．86）×10^6／L；发作次数为（7．22±2．01）次。与同组治疗前及对照组比较，差异有统计学意义（P〈O．05或0．01）。结论中药穴位贴敷为主防治儿童支气管哮喘有效。

Objective To observe the therapeutic of Xiaochuanling ointment applied on acupoints combined with internal use of Yupingfeng pellets in the prevention and cure of bronchial asthma in children. Methods 80 children diagnosed of bronchial asthma were randomly recruited into a control group and a treatment group, 40 patients in each group. Patients in treatment group were treated with Xiaochuanling ointment applied on acupoints combined with internal use of Yupingfeng pellets. No treatment was used in the control group in relieving period, except observation and follow-up visit were performed. Observe the frequency, degree of asthma before and after treatment in both groups, along with the level variation of IgA, IgG, IgE and Eosnophils （EOS）. Results After treatment, the average disease grade in treatment group was 1.825 with serum IgA （ 1.32 ± 0.56 ） g/L, IgG （ 12.48 ±1.85 ） g/L, IgE （257.06 ± 194.04） g/L, EOS （ 128.56 ±76.86 ） × 106/L and frequency of asthma （7.22±2.01）. Compared with the control group and the treatment group before the treatment, there were statistical differences （P〈0.01, P〈0.05）. Conclusion The effect of external application of Chinese medicine on acupoints in prevention and cure of bronchial asthma in children is especially remarkable.